GUNDERSEN LUTHERAN MEDICAL CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: GUNDERSEN LUTHERAN MEDICAL CENTER INC (EIN 39-0813416)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-14
IRS object ID: 201713189349311136
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R
Affiliated Group Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-14T16:53:54-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4200 WELLS FARGO CTR 90 S 7TH ST	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	390813416	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Gundersen Lutheran Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% DARA BARTELS	InCareOfNm
Business Name Control	GUND	BusinessNameControlTxt
Phone	6087827300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1910 SOUTH AVE	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DARA BARTELS	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2017-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Monroe J Gierl	PreparerPersonNm
PTIN	P01413237	PTIN
Phone	6123055000	PhoneNum
Preparation	2017-11-15	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	41438720173185000007	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	CBDCF8A62BCD6705D428F3975F29828786D22771	AtSubmissionCreationDeviceId
At Submission Filing Device Id	30031D5E7EADAC179FA13A5C3B90D0218042D0DA	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SCOTT RATHGABER MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1910 SOUTH AVE	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$997,078,418	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GUNDERSENHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1899	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	See Schedule O	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$470,010	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$90,953	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,218,247	PYContributionsGrantsAmt
CY Contributions Grants	$3,585,230	CYContributionsGrantsAmt
PY Program Service Revenue	$928,711,210	PYProgramServiceRevenueAmt
CY Program Service Revenue	$992,124,966	CYProgramServiceRevenueAmt
PY Investment Income	$29,290	PYInvestmentIncomeAmt
CY Investment Income	$156,193	CYInvestmentIncomeAmt
PY Other Revenue	$435,764	PYOtherRevenueAmt
CY Other Revenue	$463,419	CYOtherRevenueAmt
PY Total Revenue	$933,394,511	PYTotalRevenueAmt
CY Total Revenue	$996,329,808	CYTotalRevenueAmt
PY Grants And Similar Paid	$20,050,652	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$16,941,409	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$372,340,882	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$385,543,211	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$466,510,131	PYOtherExpensesAmt
CY Other Expenses	$506,404,412	CYOtherExpensesAmt
PY Total Expenses	$858,901,665	PYTotalExpensesAmt
CY Total Expenses	$908,889,032	CYTotalExpensesAmt
PY Revenues Less Expenses	$74,492,846	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$87,440,776	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,129,322,051	TotalAssetsBOYAmt
Total Assets EOY	$1,215,243,277	TotalAssetsEOYAmt
Total Liabilities BOY	$5,638,642	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,119,092	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,123,683,409	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,211,124,185	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$767,557,232	ExpenseAmt
Grant	$16,941,409	GrantAmt
Revenue	$992,124,966	RevenueAmt
Desc	See Schedule O.	Desc
Total Program Service Expenses	$767,557,232	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DARA BARTELS	PersonNm
Phone	6087759487	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1900 S AVE	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Scott Rathgaber MD
Chief Executive Officer	2.0	46.0	Yes (X)	Yes (X)	$0	$849,051	$65,310
Greg Prairie
Board of Trustees - Member	2.0	4.0	Yes (X)		$0	$0	$0
Wendy Lommen
Board of Trustees - Treasurer	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
John Lyche
Board of Trustees - Secretary	2.0	6.0	Yes (X)	Yes (X)	$0	$0	$0
Gerald Arndt
Board of Trustees - Member	2.0	7.0	Yes (X)		$0	$0	$0
Gerald Kember
Board of Trustees - Member	2.0	6.0	Yes (X)		$0	$0	$0
Mark Glendenning
Board of Trustees - Vice Chair	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Brad Sturm
Board of Trustees- Board Chair	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Stephen Shapiro MD
Board of Trustees - Member	2.0	49.0	Yes (X)		$0	$447,769	$65,810
Brian Sieck MD
Board of Trustees - Member	2.0	46.0	Yes (X)		$0	$396,779	$65,860
Kelley Bahr MD
Board of Trustees - Member	2.0	46.0	Yes (X)		$0	$359,195	$36,250
Jonathan Zlabek MD
Board of Trustees - Member	2.0	46.0	Yes (X)		$0	$308,089	$55,210
Greg Thompson MD
BOT - Member, CMO	2.0	48.0	Yes (X)	Yes (X)	$0	$434,435	$64,498
Elizabeth Smith-Houskamp
Vice President, Admin COO	2.0	46.0		Yes (X)	$0	$379,352	$39,750
Michael Dolan MD
EXEC VP, MEDICAL COO	2.0	48.0		Yes (X)	$0	$594,071	$63,310
Debra Rislow
SVP, Admin COO	2.0	50.0		Yes (X)	$0	$389,872	$37,105
Rose Ann-Laureto
Chief Information Officer	2.0	46.0		Yes (X)	$0	$198,283	$25,619
Dara Bartels
Chief Financial Officer	2.0	49.0		Yes (X)	$0	$333,933	$63,310
P Michael Jacobs DPM
Medical Vice President	0.0	42.0			$0	$359,451	$65,810	Yes (X)
Mary Kuffel MD
Medical Vice President	0.0	40.0			$0	$466,107	$41,014	Yes (X)
Stephanie Carroll MD
Medical Vice President	0.0	40.0			$0	$304,757	$54,874	Yes (X)
Todd Kowalski MD
Medical Vice President	0.0	42.0			$0	$316,508	$58,976	Yes (X)
Lisa Wied
Vice President	0.0	40.0			$0	$126,327	$18,488	Yes (X)
Mike McKee
Vice President	0.0	40.0			$0	$140,364	$47,961	Yes (X)
Kraig Schuster
Vice President	0.0	40.0			$0	$200,944	$53,829	Yes (X)
Bryan Erdmann
Vice President	0.0	42.0			$0	$233,187	$61,495	Yes (X)
Kelly Barton
Vice President	0.0	42.0			$0	$122,845	$6,729	Yes (X)
Marilu Bintz MD
Senior Vice President, Med VP	0.0	41.0			$0	$577,390	$49,852	Yes (X)
Kathleen Klock
Senior Vice President	0.0	41.3			$0	$427,120	$39,750	Yes (X)
Mark Platt
Senior Vice President	0.0	42.5			$0	$378,178	$63,310	Yes (X)
Mary Jafari
Senior Physicist	0.0	40.0			$0	$225,504	$50,438		Yes (X)
John Wochos
Senior Physicist	0.0	40.0			$0	$208,490	$58,180		Yes (X)
Alan Daus
Senior Physicist	0.0	40.0			$0	$211,299	$52,907		Yes (X)
Kimberly Schmidt
Senior Physicist	0.0	40.0			$0	$188,893	$45,467		Yes (X)
Ryan Holte
Administrative Director	0.0	41.0			$0	$171,442	$50,771		Yes (X)
Mary Lu Gerke
Former Nurse Executive	0.0	40.0			$0	$198,836	$39,102			Yes (X)
Jeffrey Thompson MD
Former CEO	0.0	40.0			$0	$247,444	$63,560			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,795,915	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,504,545	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Field	Value	IRS element (for citing)
Person	NA	PersonNm

Field	Value	IRS element (for citing)
Contractor Address		ContractorAddress

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,090,983	RelatedOrganizationsAmt
Government Grants	$421,123	GovernmentGrantsAmt
All Other Contributions	$73,124	AllOtherContributionsAmt
Total Contributions	$3,585,230	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Medical Service Provided	Desc
Business	621500	BusinessCd
Total Revenue Column	$992,124,966	TotalRevenueColumnAmt
Related Or Exempt Func Income	$992,124,966	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$992,124,966	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$113,861	TotalRevenueColumnAmt
Exclusion	$113,861	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$34,600	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$41,191	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$6,591	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$6,591	TotalRevenueColumnAmt
Exclusion	-$6,591	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$749,751	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$707,419	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$42,332	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,332	TotalRevenueColumnAmt
Exclusion	$42,332	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Laboratory Services	Desc
Business	900099	BusinessCd
Total Revenue Column	$470,010	TotalRevenueColumnAmt
Unrelated Business Revenue	$470,010	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$470,010	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$996,329,808	TotalRevenueColumnAmt
Related Or Exempt Func Income	$992,124,966	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$470,010	UnrelatedBusinessRevenueAmt
Exclusion	$149,602	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$11,089,953	TotalAmt
Program Services	$11,089,953	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$5,851,456	TotalAmt
Program Services	$5,851,456	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$146,368	TotalAmt
Program Services	$146,368	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$295,776,710	TotalAmt
Program Services	$293,762,695	ProgramServicesAmt
Management And General	$2,014,015	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$33,294,589	TotalAmt
Program Services	$33,015,817	ProgramServicesAmt
Management And General	$278,772	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$38,909,801	TotalAmt
Program Services	$38,482,025	ProgramServicesAmt
Management And General	$427,776	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,415,743	TotalAmt
Program Services	$17,274,316	ProgramServicesAmt
Management And General	$141,427	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$290	TotalAmt
Program Services	$290	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$103,045,465	TotalAmt
Program Services	$102,947,994	ProgramServicesAmt
Management And General	$97,471	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,551,976	TotalAmt
Program Services	$9,342,153	ProgramServicesAmt
Management And General	$209,823	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,061,884	TotalAmt
Program Services	$2,007,707	ProgramServicesAmt
Management And General	$54,177	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,388,634	TotalAmt
Program Services	$1,057,105	ProgramServicesAmt
Management And General	$331,529	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$692,635	TotalAmt
Program Services	$655,255	ProgramServicesAmt
Management And General	$37,380	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$216,041,283	TotalAmt
Program Services	$82,269,477	ProgramServicesAmt
Management And General	$133,771,806	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,886,104	TotalAmt
Program Services	$24,029,306	ProgramServicesAmt
Management And General	$2,856,798	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$281,817	TotalAmt
Program Services	$12,714	ProgramServicesAmt
Management And General	$269,103	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Bad debts/collections	$16,881,928	$16,881,928
Employee Development	$566,098	$539,032	$27,066
Supplies	$114,484,425	$113,813,561	$670,864
ASSESSMENTS	$13,743,354	$13,702,856	$40,498

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$778,519	TotalAmt
Program Services	$675,224	ProgramServicesAmt
Management And General	$103,295	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$908,889,032	TotalAmt
Program Services	$767,557,232	ProgramServicesAmt
Management And General	$141,331,800	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$217,732	BOYAmt
EOY	$230,880	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$110,177,678	BOYAmt
EOY	$115,418,056	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,205,047	BOYAmt
EOY	$4,536,632	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$513,862,674	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$192,331,641	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$326,608,890	BOYAmt
EOY	$321,531,033	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$20,000,000	BOYAmt
EOY	$20,000,000	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$250,000	BOYAmt
EOY	$250,000	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$667,862,704	BOYAmt
EOY	$753,276,676	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,129,322,051	BOYAmt
EOY	$1,215,243,277	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,760,664	BOYAmt
EOY	$2,797,442	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,877,978	BOYAmt
EOY	$1,321,650	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,638,642	BOYAmt
EOY	$4,119,092	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,123,683,409	BOYAmt
EOY	$1,211,124,185	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,123,683,409	BOYAmt
EOY	$1,211,124,185	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,129,322,051	BOYAmt
EOY	$1,215,243,277	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$87,440,776	ReconcilationRevenueExpnssAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$219,895	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Affiliated Group Total	$219,895	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$908,889,032	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,847,029,847	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$908,889,032	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,847,249,742	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Field	Value	IRS element (for citing)
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$243,735	CurrentYearMinus3Amt
Current Year Minus2	$281,562	CurrentYearMinus2Amt
Current Year Minus1	$271,755	CurrentYearMinus1Amt
Current Year	$219,895	CurrentYearAmt
Total	$1,016,947	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$0	CurrentYearMinus3Amt
Current Year Minus2	$0	CurrentYearMinus2Amt
Total	$0	TotalAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,015,571	OtherCostOrOtherBasisAmt
Book Value	$4,015,571	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$399,194,494	OtherCostOrOtherBasisAmt
Depreciation	$117,911,101	DepreciationAmt
Book Value	$281,283,393	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,007,956	OtherCostOrOtherBasisAmt
Depreciation	$3,676,872	DepreciationAmt
Book Value	$1,331,084	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$105,644,653	OtherCostOrOtherBasisAmt
Depreciation	$70,743,668	DepreciationAmt
Book Value	$34,900,985	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$321,531,033	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLES	$749,754,043
OTHER REC. & ADJUSTMENTS	$3,522,633

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$753,276,676	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
LT MALPRACTICE CLAIMS RESERVE	$1,049,143
ASSET RETIREMENT OBLIGATION	$272,507

Field	Value	IRS element (for citing)
Total Liability	$1,321,650	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2:	FormAndLineReferenceDesc
Explanation	INCOME TAX MATTERS (Dollars in Thousands) The System qualifies as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code (the Code), with the exception of Gundersen Health Plan, Inc. and Gundersen Health Plan Minnesota, Inc., which are tax-exempt organizations under 501(c)(4) of the Code, and Degen Berglund, Inc. and Gundersen Lutheran Envision, LLC, which are for-profit entities. At December 31, 2016 and 2015, net deferred tax assets of $3,493 and $3,083, respectively, which primarily are related to net operating loss carryforwards, have valuation allowances of $2,766 and $2,205, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At December 31, 2016, the System's federal net operating loss carryforwards were approximately $27,109, and the state net operating loss carryforwards were approximately $22,902, which will expire between 2025 and 2034. The System has reviewed its tax positions for all open years and has concluded that no liabilities exist for uncertain tax positions. The System's income tax returns are no longer subject to examination for 2012 and prior years.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,104,642	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,104,642	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,113,207	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,999,778	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,113,429	NetCommunityBenefitExpnsAmt
Total Expense	0.05170	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$298,175	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$157,587	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$140,588	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$98,516,024	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,157,365	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,358,659	NetCommunityBenefitExpnsAmt
Total Expense	0.05420	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$666,372	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$627,653	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,039,550	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,845,047	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,194,503	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$582,914	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$582,914	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,288,836	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,883,766	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,405,070	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$111,804,860	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,041,131	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,763,729	NetCommunityBenefitExpnsAmt
Total Expense	0.06360	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$414	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$414	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,960	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,960	NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,590	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,590	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,038	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,038	NetCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,476,491	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,476,491	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,525,493	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,525,493	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,308,137	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,828,350	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$119,685,603	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$185,708,707	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$66,023,104	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GUNDERSEN LUTHERAN MED CENTER INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1910 SOUTH AVENUE	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GUNDERSENHEALTH.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GUNDERSEN LUTHERAN MEDICAL CENTERINC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	REFER TO SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	REFER TO SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	Refer to Section C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	Refer to Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	Refer to Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	Refer to Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Line 3j:	THE COMPASS NOW 2015 PROCESS USED A VARIETY OF DATA COLLECTION METHODS TO CREATE AN OVERALL DEPICTION OF THE ISSUES FACING OUR COMMUNITIES. THESE METHODS INCLUDED A RANDOM HOUSEHOLD SURVEY, CONVENIENCE SURVEY, COMMUNITY CONVERSATIONS, AND AN EXTENSIVE REVIEW OF SOCIOECONOMIC INDICATORS, WHICH PROVIDES AN INVENTORY OF COMMUNITY RESOURCES. THE DATA COLLECTED DURING COMPASS NOW 2015 GUIDE FOUR PILLAR PROFILES. THESE ARE REFERRED TO AS PILLARS BECAUSE THEY CREATE THE BUILDING BLOCKS FOR A BETTER LIFE. THE PILLARS OF COMPASS NOW 2015 ARE COMMUNITY, EDUCATION, INCOME/ECONOMIC, AND HEALTH. THE PROFILES DESCRIBE OUR COMMUNITY WITH REGARDS TO THE KEY ISSUES OF EACH AREA. EACH PROFILE PULLS KEY INDICATOR DATA AND COMPASS SURVEY RESULTS INTO A NARRATIVE FORMAT THAT IS INTENDED TO PROVIDE A CONTEXT TO THE DATA FOUND IN THE INDICATOR REPORT, MAKING THE DATA EASY TO NAVIGATE. COMPASS COUNCILS WERE ADVISORY GROUPS OF LOCAL EXPERTS IN THE FIELDS OF EDUCATION, INCOME, HEALTH, AND A VARIETY OF COMMUNITY ISSUES. THESE MEMBERS COLLECTED AND REVIEWED DATA, ANALYZED THE SURVEY RESULTS, AND OFFERED PROFESSIONAL INSIGHTS ABOUT TOPIC-SPECIFIC ISSUES IN THE GREAT RIVERS REGION. AFTER SIGNIFICANT REVIEW OF THE DATA AND SURVEY RESULTS, PRIORITY ISSUES WERE IDENTIFIED BY COMPASS COUNCIL MEMBERS. THESE ISSUES WERE THEN RANKED BY COUNCIL MEMBERS USING THE CRITERIA BELOW: 1. HOW WIDESPREAD IS THE ISSUE IN OUR COMMUNITY? 2. HOW SERIOUS ARE THE EFFECTS OF THE ISSUE IN OUR COMMUNITY? 3. HOW IMPORTANT IS THE ISSUE TO THE COMMUNITY? THE COMPASS NOW STEERING COMMITTEE THEN APPLIED ITS KNOWLEDGE OF THE ISSUES. THE COMBINATION OF COMPASS COUNCIL RECOMMENDATIONS AND THE INSIGHTS FROM THE COMPASS NOW STEERING COMMITTEE RESULTED IN THE IDENTIFICATION OF THREE TOP AREAS OF NEED FOR EACH OF THE FOUR GREAT RIVERS UNITED WAY PILLARS.
Schedule H, Part V, Line 5:	IN ADDITION TO THE RANDOM HOUSEHOLD SURVEY, THE COMPASS NOW 2015 COMMUNITY NEEDS ASSESSMENT ALSO INCLUDED A CONVENIENCE SAMPLE THAT FOCUSED ON SPECIFIC SUBGROUPS IN THE GREAT RIVERS REGION. THE OVERALL OBJECTIVE OF THIS SAMPLING WAS TO COLLECT FEEDBACK FROM POPULATIONS WITHIN THE COMMUNITY THAT WERE POTENTIALLY UNDERREPRESENTED IN THE RANDOM HOUSEHOLD SURVEY DUE TO THE SMALL NUMBER IN WHICH THEY EXIST IN THE COMMUNITY. THESE SMALLER POPULATIONS INCLUDED, BUT WERE NOT LIMITED TO, AFRICAN AMERICANS, HISPANICS, LGBT YOUTH, YOUTH AT-RISK, LOW-INCOME ADULTS, AND SENIOR CITIZENS. RESULTS FROM THIS SURVEY WERE COMPARED TO THE RESPONSES OF THE RANDOM HOUSEHOLD SURVEY RESPONDENTS IN AN ATTEMPT TO DETERMINE ANY SIGNIFICANT DIFFERENCES THAT EXISTED BETWEEN THE GENERAL POPULATION AND THOSE IN SMALLER SUBGROUPS WITHIN THE COMMUNITY. IN TOTAL, 753 COMMUNITY MEMBERS SHARED FEEDBACK THROUGH THE CONVENIENCE SAMPLE PROCESS. (OF THE 5,000 HOUSEHOLDS THAT RECEIVED THE RANDOM HOUSEHOLD SURVEY, 791 WERE RETURNED WITH RESPONSES ANALYZED.) ANOTHER WAY IN WHICH COMMUNITY FEEDBACK WAS GATHERED WAS THROUGH COMMUNITY CONVERSATIONS. THESE CONVERSATIONS WERE CONDUCTED IN LIEU OF THE FOCUS GROUPS THAT WERE CONDUCTED IN THE COMPASS NOW 2012 COMMUNITY NEEDS ASSESSMENT. THESE SMALL GROUP GATHERINGS WERE A SAFE SPACE IN WHICH COMMUNITY MEMBERS COULD COME TOGETHER AND SHARE THEIR THOUGHTS AND EXPERIENCES ABOUT LIVING IN THE GREAT RIVERS REGION. INDIVIDUALS CONSULTED: ANN KAPPAUF, NEW HORIZONS SHELTER & OUTREACH CENTERS; ANNA CARDARELLA, WESTERN DAIRYLAND; ASHLEY FOREMAN, MARINE CREDIT UNION; AUDRA MARTINE, AGING & DISABILITY RESOURCE CENTER OF WESTERN WISCONSIN; AUDRA WIESER, THE PARENTING PLACE; BEN CRENSHAW, MAYO CLINIC HEALTH SYSTEM; BETH HARTUNG, CONSULTANT, WFPRHA; BETH JOHNSON, VERNON COUNTY HEALTH DEPARTMENT; BETH THEEDE, LA CRESCENT-HOKAH PUBLIC SCHOOLS; BETTY JOREGENSON, MAYO CLINIC HEALTH SYSTEM; BRENDA ROONEY, GUNDERSEN HEALTH SYSTEM; BRIAN THEILER, GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS; CAROL ABRAHAMZON, MISSISSIPPI VALLEY CONSERVANCY; CAROLINE NEILSEN, CITY OF LA CROSSE COMMUNITY DEVELOPMENT; CATHERINE EMMANUELLE, TREMPEALEAU COUNTY UW- EXTENSION; CATHERINE KOLKMEIER, LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM; CECIL ADAMS, AFRICAN AMERICAN MUTUAL ASSISTANCE NETWORK; CHARLIE HANDY, LA CROSSE COUNTY PLANNING/COMMUNITY DEVELOPMENT; CHERYL RHODA, TREMPEALEAU COUNTY HEALTH DEPARTMENT; CHRISTINE DEAN, GUNDERSEN ST. JOSEPH'S HOSPITAL & CLINICS; ERIC PRISE, TOMAH MEMORIAL HOSPITAL; ERIN WALDHART, WAFER FOOD PANTRY; FAI DEMARK, CONSUMER CREDIT COUNSELING SERVICE OF LA CROSSE; GINA MERRELL, WORKFORCE CONNECTIONS; GREG FLOGSTAD, MISSISSIPPI RIVER REGIONAL PLANNING COMMISSION; GREG STANGL, LA CROSSE COUNTY LAND CONSERVATION; HEATHER MYHRE, HOUSTON COUNTY HEALTH DEPARTMENT; HEATHER QUACKENBOSS, LA CROSSE COMMUNITY FOUNDATION; JACKIE EASTWOOD, LA CROSSE COUNTY AREA PLANNING COMMITTEE; JAMIE SCHLOEGEL, FAMILY & CHILDREN'S CENTER; JASON LARSEN, LA CROSSE AREA FAMILY COLLABORATIVE; JASON WITT, LA CROSSE COUNTY HUMAN SERVICES DEPARTMENT; JENNIFER SLABAUGH, SEMCAC OUTREACH & EMERGENCY SERVICES PROGRAM; JENNY KUDERER, WISCONSIN ECONOMIC DEVELOPMENT CORPORATION; JERILYN DINSMOOR, LA CROSSE PROMISE; JESSIE CUNNINGHAM, VERNON MEMORIAL HEALTHCARE; JOAN MUELLER, MAYO CLINIC HEALTH SYSTEM; JOHN HENDRICKS, SPARTA AREA SCHOOL DISTRICT; JOSHUA WALDEN, CROSSFIRE; JULIE NELSON, THE SALVATION ARMY OF LA CROSSE; KAREN EHLE-TRAASTAD, VERNON COUNTY UW-EXTENSION; KAREN JOOS, COMMUNITY VOLUNTEER; KARI REYBURN, WESTERN TECHNICAL COLLEGE; KATE NOELKE, UNIVERSITY OF WISCONSIN-LA CROSSE; KAYLEIGH DAY, MONROE COUNTY HEALTH DEPARTMENT; KEITH LEASE, WESTERN TECHNICAL COLLEGE; KIM CABLE, COULEECAP; LAURA PETTERSEN, SCENIC BLUFFS AREA HEALTH EDUCATION CENTER; LAURIE STRANGMAN, UNIVERSITY OF WISCONSIN-LA CROSSE; LINDSEY MENARD, LA CROSSE COUNTY HUMAN SERVICES DEPARTMENT; LISA LUCKEY, LA CROSSE AREA FAMILY YMCA; LORI DUBCZAK, INDEPENDENT LIVING RESOURCES; LORI FREIT-HAMMES, MAYO CLINIC HEALTH SYSTEM; LORIE GRAFF, WESTERN REGION FOR ECONOMIC ASSISTANCE IM CONSORTIUM; MARI FREIBERG, SCENIC BLUFFS COMMUNITY HEALTH CENTER; MARY JACOBSON, CATHOLIC CHARITIES; MARY KAY WOLF, GREAT RIVERS UNITED WAY; MARY KOENIG, VERNON MEMORIAL HEALTHCARE; MARY MEEHAN-STRUB, LA CROSSE COUNTY UW-EXTENSION; MIKE DESMOND, BOYS & GIRLS CLUBS OF GREATER LA CROSSE; PAT KERRIGAN, VITERBO UNIVERSITY; PATRICIA MALONE, TREMPEALEAU COUNTY UW-EXTENSION; PAULINE BYOM, MAYO CLINIC HEALTH SYSTEM; ROBERT LYNN, GUNDERSEN HEALTH SYSTEM; SANDRA BREKKE, ST. CLARE HEALTH MISSION; SANDY GRAVES, LA CRESCENT AREA HEALTHY COMMUNITY PARTNERSHIP; SARA WROBEL, CAUSEWAY CAREGIVERS; SARAH HAVENS, GUNDERSEN HEALTH SYSTEM; SARAH SPAH, MAYO CLINIC HEALTH SYSTEM; SHARON NELSON, MONROE COUNTY HEALTH DEPARTMENT; SHELLY TEADT, COULEECAP; STEVE SALERNO, SCHOOL DISTRICT OF LA CROSSE; TERESA PIERCE, WORKFORCE CONNECTIONS; TJ BROOKS, UNIVERSITY OF WISCONSIN-LA CROSSE; TODD MANDEL, COULEECAP; TOM FAELLA, LA CROSSE COUNTY ADMINISTRATIVE CENTER; TONI ASHER, PUMP HOUSE REGIONAL ARTS CENTER; TRACY CRAKER, WESTERN TECHNICAL COLLEGE; TRACY HERLITZKE, COOPERATIVE EDUCATIONAL SERVICE AGENCY (CESA) #4; TRICIA WAVRA, WESTERN REGION FOR ECONOMIC ASSISTANCE IM CONSORTIUM; VALJEAN ADAMS, CLARA FIELDS MULTICULTURAL LITERACY PROGRAM; WES REVELS, GREAT RIVERS UNITED WAY BOARD OF DIRECTORS; WILLIAM COLCLOUGH, UNIVERSITY OF WISCONSIN-LA CROSSE.
Schedule H, Part V, Line 6a:	HOSPITALS INCLUDED ARE GUNDERSEN HEALTH SYSTEM, GUNDERSEN ST. JOSEPH'S HOSPITAL & CLINICS, GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS, MAYO CLINIC HEALTH SYSTEM-LA CROSSE, MAYO CLINIC HEALTH SYSTEM-SPARTA, TOMAH MEMORIAL HOSPITAL, VERNON MEMORIAL HOSPITAL.
Schedule H, Part V, Line 6b:	OTHER ORGANIZATIONS INCLUDE GREAT RIVERS UNITED WAY, HOUSTON COUNTY (MN) HEALTH DEPARTMENT, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COUNTY (WI) HEALTH DEPARTMENT, MONROE COUNTY (WI) HEALTH DEPARTMENT, TREMPEALEAU COUNTY (WI) HEALTH DEPARTMENT, VERNON COUNTY (WI) HEALTH DEPARTMENT.
Schedule H, Part V, Line 7A:	http://www.gundersenhealth.org/community-assessment/ 7B: OTHER WEB SITE HTTP://WWW.GREATRIVERSUNITEDWAY.ORG/OUR-WORK/COMMUNITY-NEEDS-ASSESSMENT/ 7C: PAPER COPY: AVAILABLE IN 5 MOONEY LIBRARIES LOCATED AT OUR LA CROSSE AND ONALASKA CAMPUS AND UPON REQUEST 7D: AVAILABLE BY CONTACTING SARAH HAVENS, PHONE (608) 775-6580 OR (800) 362-9567, EXT. 56580 OR EMAIL SJHAVENS@GUNDERSENHEALTH.ORG. PART V, SECTION B, 10A: IMPLEMENTATION STRATEGY URL: http://www.gundersenhealth.org/community-assessment/
Schedule H, Part V, Line 11:	THE GUNDERSEN COMMUNITY HEALTH NEEDS ASSESSMENT UTILIZES THE COMPASS NOW COLLABORATIVE ASSESSMENT THAT INCLUDES 5 COUNTIES IN OUR SERVICE AREA REPRESENTING 77.6% OF OUR HOSPITAL SERVICE PATIENT POPULATION. THE COMPASS NOW ASSESSMENT HAS BEEN AN ONGOING COMMUNITY NEEDS ASSESSMENT IN COLLABORATION WITH THE UNITED WAY AND OTHER COMMUNITY PARTNERS SINCE 1995, WITH UPDATES EVERY THREE TO FIVE YEARS. TO EXPAND THE COMPASS NOW ASSESSMENT AND REPRESENTED POPULATION, WE HAVE ALSO COMPLETED A COMMUNITY HEALTH ASSESSMENT FOR THE 19-COUNTY SERVICE AREA AS A WHOLE, UTILIZING TOOLS GENERATED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION COMMUNITY HEALTH STATUS INDICATORS- 2015 CHSI 2015 AND COMMUNITY COMMONS. THE FIVE COUNTIES REPRESENTED IN COMPASS REFLECT 42% THE OVERALL POPULATION OF OUR 19 COUNTY SERVICE REGION. REVIEWING THE BROADER 19-COUNTY REGION NEEDS REVEALED NO SIGNIFICANT DIFFERENCES FOR THE TOP TWO CONCERNS MENTAL HEALTH AND/OR SUBSTANCE ABUSE (ADULT BINGE DRINKING, OLDER AND DEPRESSION) AND CHRONIC DISEASE AND CONTRIBUTING FACTORS (OBESITY, PHYSICAL INACTIVITY, SMOKING, DIABETES, STROKE, OVERALL HEALTH STATUS). THE NEED THAT WAS IDENTIFIED IN COMPASS NOW NOTED IN OUR BROADER SERVICE REGION ASSESSMENT IS ORAL HEALTH AND ALTERNATIVELY FEMALE PAP TESTS ARE INDICATED AS A NEED FOR THE BROADER 19-COUNTY SERVICE REGION BUT NOT IN COMPASS. SOCIAL FACTORS AND THE PHYSICAL ENVIRONMENT ARE ESPECIALLY IMPORTANT BECAUSE THEY REPRESENT THE CONDITIONS IN WHICH PEOPLE ARE BORN, WORK, AND PLAY. NEIGHBORHOODS WITH AFFORDABLE HEALTHY FOOD, SAFE AND ACCESSIBLE HOUSING, AND QUALITY EMPLOYMENT OPPORTUNITIES CAN POSITIVELY INFLUENCE BEHAVIORS AND HELP TO CREATE HEALTHY LIFESTYLES. THE WORLD HEALTH ORGANIZATION AND OTHERS CALL THE LIVING CONDITIONS THAT CAN AFFECT HEALTH AND QUALITY OF LIFE THE "SOCIAL DETERMINANTS OF HEALTH". GUNDERSEN LUTHERAN MEDICAL CENTER'S 2016-2018 IMPLEMENTATION PLAN ADDRESSES THE IDENTIFIED NEEDS FROM COMPASS AND THE ADDITIONAL ISSUE REVEALED FROM THE GREATER 19-COUNTY ASSESSMENT. WE USED THE FOLLOWING PROCESS TO DETERMINE OUR IMPLEMENTATION STRATEGY: 1. CREATED SELECTION CRITERIA TO SELECT AREAS OF CONCERN FROM COMPASS (CHNA) THAT WE WOULD ADDRESS. THESE CRITERIA INCLUDE: a. MAGNITUDE - HOW WIDESPREAD IS THE ISSUE IN OUR COMMUNITY? b. SERIOUSNESS - HOW SERIOUS ARE THE EFFECTS OF THE ISSUE IN OUR COMMUNITY? c. IMPACT - HOW IMPORTANT IS THE ISSUE TO THE COMMUNITY? d. FEASIBILITY - DO WE HAVE THE ABILITY TO REASONABLY IMPACT THE ISSUE WITH AVAILABLE RESOURCES? NOTE: RESOURCES AVAILABLE TO ADDRESS THESE IDENTIFIED NEEDS VARY FROM COMMUNITY TO COMMUNITY, AND COUNTY TO COUNTY. AS A COMPONENT OF OUR IMPLEMENTATION PLAN, A GOAL WILL BE TO IDENTIFY RESOURCES ACROSS OUR SERVICE AREA. THIS WORK WILL INVOLVE OUR NETWORK OF REGIONAL PARTNERS (HOSPITAL AFFILIATES). e. CONSEQUENCES OF INACTION: WHAT IS THE RISK BY NOT ADDRESSING THE ISSUE? f. CURRENT SOLUTIONS: WHAT IS THE DEGREE TO WHICH OUR ACTIONS WILL ENHANCE CURRENT LEVELS OF INTERVENTIONS BY OTHERS? 2. INVENTORIED THE GUNDERSEN HEALTH SYSTEM FOR EXISTING PROGRAMS AND PROCESSES THAT ADDRESS THE IDENTIFIED NEED. 3. INCORPORATED FEEDBACK FROM COMMUNITY CONVERSATIONS AND SURVEY COMMENTS (FROM COMPASS PROCESS) 4. DETERMINED OPPORTUNITIES FOR NEW PROGRAMMING OR PARTNERSHIPS THAT COULD IMPACT AREAS NOT BEING ADDRESSED. 5. FORMALIZED GOALS AND ACTIVITIES THAT WILL DIRECTLY IMPACT IDENTIFIED PRIORITIES. 6. IDENTIFIED THOSE PRIORITIES NOT ADDRESSED IN OUR PLAN, BUT NOTE WE WILL MAINTAIN ACTIVE PARTNERSHIPS WITH AND REMAIN SUPPORTIVE OF THE LEAD ORGANIZATIONS ADDRESSING THOSE PRIORITIES. OUR IMPLEMENTATION PLAN, INCLUDING GOALS AND ACTION STEPS, HAS BEEN ESTABLISHED FOR THE THREE KEY ISSUES DETERMINED IN THE HEALTH CATEGORY (CHRONIC DISEASE AND CONTRIBUTING FACTORS, MENTAL HEALTH AND/OR SUBSTANCE ABUSE, ORAL HEALTH) AND ONE KEY ISSUE IN EACH OF THE OTHER CATEGORIES: INCOME- QUALITY HOUSING; EDUCATION- YOUTH RESILIENCE; AND COMMUNITY- ADVERSE CHILDHOOD EXPERIENCES. THE SIX REMAINING ISSUES WILL BE ADDRESSED BY OUR COMMUNITY PARTNERS. ENGAGEMENT WITH KEY PARTNERS WILL ULTIMATELY LEAD TO COMMUNITY HEALTH IMPROVEMENT.
Schedule H, Part V, Line 13c:	GHS patients not meeting financial assistance eligibility thresholds may be eligible for assistance under circumstances when GHS medical bills would result in severe financial hardship. Patients, or their guarantors, may be eligible for catastrophic care assistance if they have incurred out-of-pocket obligations resulting from medical services provided by GHS that exceed 25% of family income and have assets below the equivalent of 600% of the Federal Poverty Level threshold. Patients, or patient guarantors, meeting eligibility criteria for catastrophic care will have their GHS charges discounted to an amount not to exceed 25% of family income.
Schedule H, Part V, Line 13h:	GHS PATIENTS NOT MEETING FINANCIAL ASSISTANCE ELIGIBILITY THRESHOLDS MAY BE ELIGIBLE FOR ASSISTANCE UNDER CIRCUMSTANCES WHEN GHS MEDICAL BILLS WOULD RESULT IN SEVERE FINANCIAL HARDSHIP. PATIENTS, OR THEIR GUARANTORS, MAY BE ELIGIBLE FOR CATASTROPHIC CARE ASSISTANCE IF THEY HAVE INCURRED OUT-OF-POCKET OBLIGATIONS RESULTING FROM MEDICAL SERVICES PROVIDED BY GHS THAT EXCEED 25% OF FAMILY INCOME AND HAVE ASSETS BELOW THE EQUIVALENT OF 600% OF THE Federal Poverty Level THRESHOLD. PRESUMPTIVE ELIGIBILITY: GHS UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE FORMAL FINANCIAL ASSISTANCE APPLICATION. OTHER INFORMATION MAY BE UTILIZED BY GHS TO DETERMINE WHETHER A PATIENT'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE GRANTED TO PATIENTS BASED ON THEIR ELIGIBILITY FOR OTHER PROGRAMS OR LIFE CIRCUMSTANCES SUCH AS: 1. PATIENTS OR GUARANTORS WHO HAVE DECLARED BANKRUPTCY. IN CASES INVOLVING BANKRUPTCY, ONLY THE ACCOUNT BALANCE AS OF THE DATE THE BANKRUPTCY IS DISCHARGED WILL BE WRITTEN OFF. 2. PATIENTS OR GUARANTORS WHO ARE DECEASED WITH NO ESTATE IN PROBATE. 3. PATIENTS OR GUARANTORS DETERMINED TO BE HOMELESS. 4. ACCOUNTS RETURNED BY THE COLLECTION AGENCY AS UNCOLLECTIBLE DUE TO ANY OF THE ABOVE REASONS. 5. PATIENTS OR GUARANTORS WHO QUALIFY FOR STATE MEDICAID PROGRAMS, WILL BE ELIGIBLE FOR ASSISTANCE FOR ANY COST-SHARING OBLIGATIONS ASSOCIATED WITH THE PROGRAM OR UNCOVERED SERVICES. GHS UNDERSTANDS THAT CERTAIN PATIENTS MAY BE NON-RESPONSIVE TO GHS'S APPLICATION PROCESS. UNDER THESE CIRCUMSTANCES, GHS MAY UTILIZE OTHER SOURCES OF INFORMATION TO MAKE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED. THIS INFORMATION WILL ENABLE GHS TO MAKE AN INFORMED DECISION ON THE FINANCIAL NEED OF NON- RESPONSIVE PATIENTS UTILIZING THE BEST ESTIMATES AVAILABLE IN THE ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT. GHS MAY UTILIZE A THIRD-PARTY TO CONDUCT AN ELECTRONIC REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THIS PREDICTIVE MODEL INCORPORATES PUBLIC RECORD DATA TO CALCULATE A SOCIO-ECONOMIC AND FINANCIAL CAPACITY SCORE THAT INCLUDES ESTIMATES FOR INCOME, ASSETS AND LIQUIDITY. THE ELECTRONIC TECHNOLOGY IS DESIGNED TO ASSESS EACH PATIENT TO THE SAME STANDARDS AND IS CALIBRATED AGAINST HISTORICAL APPROVALS FOR GHS FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. THE ELECTRONIC TECHNOLOGY, WHEN UTILIZED, WILL BE DEPLOYED PRIOR TO BAD DEBT ASSIGNMENT AFTER ALL OTHER ELIGIBILITY AND PAYMENT SOURCES HAVE BEEN EXHAUSTED. THIS ALLOWS GHS TO SCREEN ALL PATIENTS FOR FINANCIAL ASSISTANCE PRIOR TO PURSUING ANY EXTRAORDINARY COLLECTION ACTIONS. THE DATA RETURNED FROM THIS ELECTRONIC ELIGIBILITY REVIEW WILL CONSTITUTE ADEQUATE DOCUMENTATION OF FINANCIAL NEED UNDER THIS POLICY. WHEN ELECTRONIC ENROLLMENT IS USED AS THE BASIS FOR PRESUMPTIVE ELIGIBILITY, THE HIGHEST DISCOUNT LEVELS WILL BE GRANTED FOR ELIGIBLE SERVICES FOR RETROSPECTIVE DATES OF SERVICE ONLY. IF A PATIENT DOES NOT QUALIFY UNDER THE ELECTRONIC ENROLLMENT PROCESS, THE PATIENT MAY STILL BE CONSIDERED UNDER THE TRADITIONAL FINANCIAL ASSISTANCE APPLICATION PROCESS. GHS WILL PROVIDE PATIENTS NOT QUALIFYING FOR FINANCIAL ASSISTANCE THROUGH THIS PROCESS WITH A WRITTEN NOTICE INFORMING THEM THAT FINANCIAL ASSISTANCE IS AVAILABLE. THIS NOTICE WILL INCLUDE A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND ACTIONS TO BE TAKEN IF AN APPLICATION IS NOT SUBMITTED OR THE OUTSTANDING BALANCE PAID. PATIENT ACCOUNTS GRANTED PRESUMPTIVE ELIGIBILITY WILL BE RECLASSIFIED UNDER THE FINANCIAL ASSISTANCE POLICY. THEY WILL NOT BE SENT TO COLLECTION, WILL NOT BE SUBJECT TO FURTHER COLLECTION ACTIONS, WILL NOT BE SENT A WRITTEN NOTIFICATION OF THEIR ELECTRONIC ELIGIBILITY QUALIFICATION, AND WILL NOT BE INCLUDED IN THE HOSPITAL'S BAD DEBT EXPENSE.
Schedule H, Part V, Line 15c:	Contact info detailing phone number, physical location of financial counselors, and mailing address are included in the financial assistance policy, the financial assistance application, on the financial assistance website(http://www.gundersenhealth.org/pay-your-bill/financial-assistance) on every patient statement, and on brochures at all registration desks.
Schedule H, Part V, Line 15e:	APPLICATION REQUIREMENTS: ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE BASED ON FINANCIAL NEED AT THE TIME OF APPLICATION. IN GENERAL, DOCUMENTATION IS REQUIRED TO SUPPORT AN APPLICATION FOR FINANCIAL ASSISTANCE. IF ADEQUATE DOCUMENTATION IS NOT PROVIDED, GHS MAY SEEK ADDITIONAL INFORMATION. RELIABLE EVIDENCE TO SUPPORT THE NEED FOR FINANCIAL ASSISTANCE IS REQUIRED. THE FOLLOWING INCOME DOCUMENTATION IS REQUIRED FROM PATIENTS, OR THEIR GUARANTORS, TO DETERMINE ELIGIBILITY: 1. COPY OF THE FEDERAL TAX RETURN, AND ALL ATTACHED SCHEDULES, FROM THE MOST RECENT TAX YEAR 2. CURRENT PROOF OF INCOME (COPY OF MOST RECENT PAY STUBS OR OTHER DOCUMENTATION) 3. PROOF OF OTHER INCOME, INCLUDING UNEMPLOYMENT, WORKERS' COMPENSATION, ALIMONY, TRUST INCOME, VETERAN'S BENEFITS 4. CURRENT BANK STATEMENTS THE FOLLOWING ASSET DOCUMENTATION IS REQUIRED FROM PATIENTS, OR THEIR GUARANTORS, TO DETERMINE ELIGIBILITY: 1. CHECKING ACCOUNTS 2. SAVINGS ACCOUNTS 3. MONEY MARKET ACCOUNTS 4. CERTIFICATES OF DEPOSIT 5. ANNUITIES 6. NON-RETIREMENT INVESTMENT ACCOUNTS 7. RETIREMENT ACCOUNTS, INCLUDING PENSIONS 8. REAL ESTATE 9. OTHER ASSETS
Schedule H, Part V, Line 16A, 16B, and 16C:	THE FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY OF THE FAP WERE AVAILABLE ON A WEBSITE: WWW.GUNDERSENHEALTH.ORG/PAY-MY-BILL/FINANCIAL-ASSISTANCE
Schedule H, Part V, Line 20e:	NOTIFICATION OF FINANCIAL ASSISTANCE: NOTIFICATIONS OF AVAILABILITY OF FINANCIAL ASSISTANCE ARE INCLUDED ON EVERY PATIENT STATEMENT, PROVIDED AT ADMISSION/CHECK-IN, ARE ANNOUNCED ON SIGNS AT EACH CHECK-IN AREA, AT BEDSIDE FOR PATIENTS DIRECTLY ADMITTED WHO MAY NOT HAVE MET WITH ADMISSIONS STAFF.
Schedule H, Part V, Line 22B:	AMOUNT GENERALLY BILLED (AGB): THE AMOUNT GENERALLY BILLED IS THE EXPECTED PAYMENT FOR EMERGENCY OR MEDICALLY NECESSARY SERVICES FROM PATIENTS, AND/OR A PATIENT'S GUARANTOR. FOR QUALIFYING PATIENTS, THIS AMOUNT WILL NOT EXCEED A RATE THAT WILL BE DETERMINED UTILIZING A LOOK BACK METHOD DESCRIBED IN 1.501(R)-5(B)(3) OF THE INTERNAL REVENUE CODE. THE LOOK BACK METHOD WILL BE BASED ON ACTUAL PAST CLAIMS PAID TO GUNDERSEN BY MEDICARE FEE-FOR-SERVICE TOGETHER WITH ALL PRIVATE HEALTH INSURERS PAYING CLAIMS. THE CLAIMS TO BE INCLUDED IN THE AGB CALCULATION WILL BE CLAIMS ALLOWED DURING THE PRIOR CALENDAR YEAR. THE AMOUNTS FOR CO-INSURANCE, CO-PAYMENTS AND DEDUCTIBLES WILL BE INCLUDED IN THE NUMERATOR ALONG WITH THE MEDICARE FEE-FOR-SERVICE TOGETHER WITH ALL ALLOWED CLAIMS FROM PRIVATE HEALTH INSURERS. THE GROSS CHARGES FOR SAID CLAIMS WILL BE INCLUDED IN THE DENOMINATOR. THE AGB WILL BE CALCULATED ANNUALLY BY THE 45TH DAY FOLLOWING THE CLOSE OF THE PRIOR CALENDAR YEAR, AND IMPLEMENTED BY THE 120TH DAY FOLLOWING THE CLOSE OF THE CALENDAR YEAR.

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
GL HOSPICE INDUSTRIAL REHAB BUILDING
1843 SIMS PL	LA CROSSE	WI	54601	HOSPICE SERVICES
GL SATELLITE DIALYSIS-ONALASKA
3075 S KINNEY COULEE RD	ONALASKA	WI	54650	RENAL DIALYSIS CENTER
UNITY HOUSE FOR WOMEN
1312 5TH AVE	LA CROSSE	WI	54601	ALCOHOL AND OTHER DRUG ABUSE (AODA) SERVICES
UNITY HOUSE FOR MEN
1918-1924 MILLER ST	LA CROSSE	WI	54601	ALCOHOL AND OTHER DRUG ABUSE (AODA) SERVICES
GL SATELLITE DIALYSIS-VIROQUA
407 S MAIN ST	VIROQUA	WI	54665	RENAL DIALYSIS CENTER
GL SATELLITE DIALYSIS-TOMAH
321 BUTTS AVE	TOMAH	WI	54660	RENAL DIALYSIS CENTER
GL SATELLITE DIALYSIS-BLACK RVR FALLS
711 W ADAMS ST	BLACK RIVER FALLS	WI	54615	RENAL DIALYSIS CENTER
GL SATELLITE DIALYSIS-PRAIRIE DU CHIEN
610 E TAYLOR ST	PRAIRIE DU CHIEN	WI	53821	RENAL DIALYSIS CENTER
GL SATELLITE DIALYSIS-RICHLAND CENTER
1313 W SEMINARY ST	RICHLAND CENTER	WI	53581	RENAL DIALYSIS CENTER
GL MENTAL HEALTH DAY TREAT BEHAV HLTH
123 16TH AVE S	ONALASKA	WI	54656	OUTPATIENT PSYCHOLOGICAL SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a:	GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. (EIN: 39-1866425)
Schedule H, Part I, Line 6b:	THE COMMUNITY BENEFIT DATA IS FILED WITH THE WISCONSIN HOSPITAL ASSOCIATION (WHA). THE WHA MAKES A COMBINED SUMMARY AVAILABLE THAT INCLUDES ALL WISCONSIN HOSPITALS.
Schedule H, Part I, Line 7:	COST TO CHARGE RATIO, AS CALCULATED USING WORKSHEET 2 METHODOLOGY TO DETERMINE THE COST OF SERVICES PROVIDED TO PATIENTS. MEDICAID AND OTHER MEANS TESTED PROGRAM COMMUNITY BENEFIT EXPENSES FOLLOWED THE CALCULATION METHODOLOGY ON WORKSHEET 3. SCHEDULE H, PART I, LINE 7 COLUMN (F): THE PERCENT OF TOTAL EXPENSE WAS CALCULATED BY DIVIDING THE COMMUNITY BENEFIT COST BY TOTAL HOSPITAL EXPENSES OF $892,007,104.
Schedule H, Part II:	THE GUNDERSEN HEALTH SYSTEM, WHICH INCLUDES GUNDERSEN LUTHERAN MEDICAL CENTER, IS COMMITTED TO OUR COMMUNITIES AS EXPRESSED IN OUR MISSION: WE DISTINGUISH OURSELVES THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, RESEARCH AND IMPROVED HEALTH IN THE COMMUNITIES WE SERVE. THE COMMUNITY BUILDING ACTIVITIES ARE INCLUDED IN COMMUNITY SERVICE REPORTING WHICH ARE PROGRAMS OR SERVICES SUPPORT THAT OUR POPULATION HEALTH INITIATIVE, BENEFITING COMMUNITIES BY ADDRESSING IDENTIFIED NEED THROUGH EFFECTIVE HEALTH IMPROVEMENT PROGRAMMING, ECONOMIC CONTRIBUTION, CORPORATE CITIZENSHIP AND VOLUNTEERISM. SUPPORT IS PROVIDED THROUGH CONTRIBUTION TO OTHER ORGANIZATIONS, OR THROUGH PROGRAMMING DELIVERED BY GUNDERSEN. WHENEVER POSSIBLE, THIS TYPE OF PROGRAMMING IS EVALUATED TO IDENTIFY THE IMPACT ON POPULATION HEALTH AND QUALITY OF LIFE. VERIFICATION OF ADDRESSING COMMUNITY NEEDS IS DOCUMENTED IN THE IMPLEMENTATION PLAN. AS A LARGER SYSTEM, COMMUNITY BUILDING ACTIVITIES ENCOMPASS ALL CORPORATIONS. LEADERSHIP IN COMMUNITY HEALTH IMPROVEMENT IS EVIDENCED BY OUR ACTIVITY WITH SEVERAL COMMUNITY COALITIONS AND INITIATIVES. AS WE CONSIDER OUR COMMUNITY NEEDS IDENTIFIED IN THE COMPASS REPORT, IT IS EVIDENT THAT HEALTH IS IMPACTED BY NOT ONLY THE TRADITIONAL SENSE OF PROVISION OF QUALITY MEDICAL SERVICES, BUT THE ENVIRONMENT IN WHICH WE LIVE, THE ECONOMIC CONDITION OF OUR PERSON AND FAMILY AND OVERALL QUALITY OF LIFE OFFERED IN THE COMMUNITIES WHERE WE LIVE.
Schedule H, Part III, Line 2:	COST TO CHARGE RATIO WAS OUR STARTING POINT FOR DETERMINING THE COST OF BAD DEBTS. THE COST TO CHARGE RATIO WAS CALCULATED FOLLOWING THE METHODOLOGY ON WORKSHEET 2. BAD DEBT EXPENSE IS THE PRODUCT OF THE COST TO CHARGE RATIO AND THE NET PROVISION FOR BAD DEBTS FROM THE FINANCIAL STATEMENTS.
Schedule H, Part III, Line 3:	GUNDERSEN LUTHERAN'S FINANCIAL ASSISTANCE POLICY (FAP) PROVIDES FREE AND DISCOUNTED CARE UP TO 400% OF THE FEDERAL POVERTY GUIDELINES (FPG). SOME PATIENTS MAY EXCEED THE 400% FPG WHEN ADDITIONAL CRITERIA SUCH AS CATASTROPHIC MEDICAL COSTS ARE CONSIDERED. THE DATA USED IS FROM THE US CENSUS BUREAU, 2008-2010 AMERICAN COMMUNITY SURVEY (ACS) 3-YEAR DATA SET FOR THE WISCONSIN COUNTIES AND ACS 5-YEAR DATA SET FOR HOUSTON COUNTY. FOR HOUSTON COUNTY, WE USED THE MINNESOTA STATE AVERAGE BECAUSE 200% VALUE WAS SO HIGH FOR HOUSTON COUNTY. WE OBTAINED THE AVERAGE OF THE FIVE COUNTIES BY USING THE INFORMATION AT THE 3.00-3.99 (399%) OF FEDERAL POVERTY LEVEL (FPL) AND BELOW. THE NEXT RANGE WAS 4.00-4.99 RATIO OF INCOME TO POVERTY IN THE LAST 12 MONTHS. WE MULTIPLIED THE FIVE COUNTY AVERAGE AT 399% OF FPL TO THE BAD DEBT AT COST. WE DEDUCTED THE AMOUNT OF CHARITY CARE AT COST TO OBTAIN THE AMOUNT OF BAD DEBT AT COST TO PATIENTS ELIGIBLE UNDER FAP(BUT FOR WHOM INSUFFICIENT INFORMATION WAS OBTAINED TO DETERMINE THEIR ELIGIBILITY).
Schedule H, Part III, Line 4:	THE COLLECTION OF RECEIVABLES FROM THIRD-PARTY PAYORS AND PATIENTS IS THE System'S PRIMARY SOURCE OF CASH FOR OPERATIONS. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS AND PATIENT DEDUCTIBLES AND COINSURANCE ON INSURERS' ACCOUNTS. PATIENT RECEIVABLES, INCLUDING THE PORTION FOR WHICH A THIRD-PARTY PAYOR IS RESPONSIBLE, ARE CARRIED AT NET REALIZABLE VALUE, DETERMINED BY THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AN ESTIMATE MADE FOR CONTRACTUAL ADJUSTMENTS OR DISCOUNTS PROVIDED TO THIRD-PARTY PAYORS. PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED ON THE ACCOMPANYING consolidated BALANCE SHEETS AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS, ALLOWANCES FOR OTHER DISCOUNTS, AND AN ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE system DOES NOT CHARGE INTEREST ON PAST-DUE RECEIVABLES. RECEIVABLES ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH THE system'S POLICIES. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE system ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. THE ANALYSIS IS PERFORMED USING A HINDSIGHT CALCULATION THAT UTILIZES WRITE-OFF DATA FOR ALL PAYOR CLASSES DURING A DETERMINED TIME PERIOD TO CALCULATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AT A POINT IN TIME. Accounts receivable balances, without payment arrangements, over 365 days are fully allowed for. The system grants credit without collateral to patients, most of whom are local residents and are insured under third-party payor agreements. AT DECEMBER 31, 2016 AND 2015, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS $30,083 AND $28,955 (Dollars in thousands), RESPECTIVELY. The allowance for uncollectible accounts as a PERCENTAGE OF ACCOUNTS RECEIVABLE has remained consistent between December 31, 2015 (16%) and December 31, 2016 (17%). At December 31, 2016 and 2015, amounts due from Medicare represented 23% and 14% respectively, of the System's net patient accounts receivable.
Schedule H, Part III, Line 8:	THE MEDICARE COST REPORT IS USED TO DETERMINE ALLOWABLE COSTS. THE UNREIMBURSED MEDICARE COSTS ON PART III, SECTION B OF SCHEDULE H ARE ALLOWABLE COSTS PER THE MEDICARE COST REPORT. THIS CALCULATION IS LIMITED TO PATIENTS WHO ARE COVERED UNDER THE MEDICARE FEE FOR SERVICE PLAN AND DOES NOT INCLUDE THOSE COVERED BY THE MEDICARE ADVANTAGE PLANS. IT ALSO DOES NOT INCLUDE ALL SERVICES PROVIDED BY THE HOSPITAL TO PATIENTS COVERED UNDER THE MEDICARE FEE FOR SERVICE PLAN. IT EXCLUDES HOSPICE SERVICES, AMBULANCE SERVICES, CLINICAL LABORATORY SERVICES, AND A FEW OTHER MISCELLANEOUS SERVICES. INCORPORATING ALL SERVICES TO ALL MEDICARE BENEFICIARIES, THE UNREIMBURSED COST FOR MEDICARE IS $68,280,762. Medicare shortfall should be considered a community benefit because our mission is to promote health in the community and we do not limit the care available to any patients, including those covered by Medicare. We are relieving a government burden by providing care to Medicare patients even though reimbursements exceed cost by $66 million. Tax-exempt hospitals are expected to participate in the Medicare program.
Schedule H, Part III, Line 9b:	PURSUANT TO SELF-PAY BILLING & COLLECTION POLICY, NO EXTRAORDINARY COLLECTION ACTIONS WILL BE PURSUED AGAINST A PATIENT, OR PATIENT GUARANTOR, BEFORE REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER THE PATIENT OR GUARANTOR IS ELIGIBLE FOR ASSISTANCE UNDER THE GHS FINANCIAL ASSISTANCE POLICY (FAP). NO ACCOUNT WILL BE SUBJECT TO BAD DEBT COLLECTION ACTIONS, OR ECA, WITHIN 120 DAYS OF THE FIRST POST-DISCHARGE STATEMENT BEFORE GHS HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. THIS 120 DAY TIMEFRAME MAY BE ABBREVIATED IF A DETERMINATION HAS BEEN MADE ON FINANCIAL ASSISTANCE, A PAYMENT PLAN HAS BEEN ESTABLISHED AND AGREED TO BY THE PATIENT OR GUARANTOR, AND THE PATIENT OR GUARANTOR IS NO LONGER COMPLYING WITH THE PAYMENT PLAN. NO COLLECTION ACTIONS WILL BE PURSUED AGAINST A PATIENT IF THE PATIENT, OR GUARANTOR, HAS PROVIDED DOCUMENTATION SHOWING THAT HE OR SHE HAS APPLIED FOR COVERAGE UNDER MEDICAID, OR OTHER PUBLICLY SPONSORED HEALTH PROGRAMS, THAT MAY PAY THE OUTSTANDING CLAIM AND FOR WHICH AN ELIGIBILITY DETERMINATION IS STILL PENDING. PRIOR TO SENDING A PATIENT'S ACCOUNT TO A COLLECTION AGENCY GHS WILL MAKE REASONABLE EFFORTS TO PROVIDE INFORMATION ON FINANCIAL ASSISTANCE AND WILL MAIL A MINIMUM OF THREE (3) WRITTEN STATEMENTS TO THE PATIENT OR GUARANTOR. EACH STATEMENT WILL INCLUDE CONSPICUOUS NOTICE OF THE GHS FINANCIAL ASSISTANCE POLICY, TELEPHONE NUMBER TO CALL FOR HELP, AND DIRECT WEBSITE ADDRESS. IF ALL EFFORTS TO COMMUNICATE WITH THE PATIENT, OR PATIENT GUARANTOR, ARE UNSUCCESSFUL, AND A CORRECT ADDRESS FOR UNDELIVERABLE MAIL IS NOT FOUND, ACCOUNTS WILL BE SENT TO A COLLECTION AGENCY. WITHIN 240 DAYS FROM THE FIRST POST-DISCHARGE STATEMENT, IF A PATIENT, OR GUARANTOR, APPLIES FOR FINANCIAL ASSISTANCE, THE APPLICATION WILL BE ACCEPTED AND COLLECTION ACTIONS WILL CEASE WHILE AN ELIGIBILITY DETERMINATION IS BEING MADE. IF THE APPLICANT IS APPROVED FOR FREE CARE, NO FURTHER ACTIONS WILL BE TAKEN TO COLLECT ON THE AMOUNT. IF THE APPLICANT IS DENIED FINANCIAL ASSISTANCE OR IS APPROVED FOR DISCOUNTED CARE, STEPS WILL BE TAKEN TO RESOLVE THE OUTSTANDING OBLIGATION. IF THE ACCOUNT IS NOT RESOLVED OR ARRANGEMENTS TO RESOLVE THE ACCOUNT ARE NOT MADE, ADDITIONAL COLLECTION ACTIONS WILL BE PURSUED. IF AN INDIVIDUAL SUBMITS AN INCOMPLETE APPLICATION DURING THE APPLICATION PERIOD, GHS MUST (I) SUSPEND ALL COLLECTION ACTIONS, (II) PROVIDE THE INDIVIDUAL WITH A WRITTEN NOTICE THAT DESCRIBES THE ADDITIONAL INFORMATION AND/OR DOCUMENTATION REQUIRED UNDER THE FAP OR APPLICATION FORM THAT MUST BE SUBMITTED TO COMPLETE THE FAP APPLICATION AND (III) PROVIDE GHS'S CONTACT INFORMATION. THE APPLICATION WILL REMAIN ACTIVE FOR 30 DAYS FROM THE DATE THE LETTER WAS MAILED TO THE APPLICANT REQUESTING THIS INFORMATION. IF THE APPLICANT HAS NOT RESPONDED WITHIN THE 30 DAY TIMEFRAME, THE APPLICATION WILL BE DENIED. APPLICANTS APPROVED FOR FINANCIAL ASSISTANCE WILL BE REFUNDED PAYMENTS IN EXCESS OF THE AMOUNT DETERMINED OWED BY THE PATIENT OR PATIENT'S GUARANTOR ON ACCOUNTS FOR WHICH THEY HAVE BEEN GRANTED ASSISTANCE UNDER THE GHS FAP. REFUNDS APPLY TO EXCESS PAYMENTS OF $5.00 OR MORE. IN ACCORDANCE WITH THIS POLICY, FINANCIAL ASSISTANCE IS GENERALLY NOT EXTENDED FOR CO-PAYMENTS OR A BALANCE REMAINING AFTER THE INSURANCE COMPANY HAS PAID IF A PATIENT FAILS TO OBTAIN PROPER REFERRALS OR AUTHORIZATIONS, OR IF SUCH ASSISTANCE IS NOT IN ACCORDANCE WITH INSURER'S CONTRACTUAL AGREEMENT THEREFORE SUCH PAYMENTS RECEIVED WILL NOT BE REFUNDED. COLLECTION ACTIONS MAY BE UTILIZED BY GHS WHEN PURSUING PAYMENT FROM PATIENTS OR GUARANTORS (I) WITH BALANCES DUE THAT GO UNPAID FOR MORE THAN 120 DAYS WHO DO NOT APPLY FOR FINANCIAL ASSISTANCE, (II) PATIENTS OR GUARANTORS NOT IN CONFORMANCE WITH AN AGREED UPON PAYMENT PLAN, OR (III) PATIENTS OR GUARANTORS WHO ARE NO LONGER COOPERATING IN GOOD FAITH TO PAY OFF THE REMAINING BALANCE. AT LEAST 30 DAYS BEFORE INITIATING ONE OR MORE ECAS TO OBTAIN PAYMENT FOR THE CARE PROVIDED, GHS WILL PROVIDE A PATIENT OR PATIENT'S GUARANTOR WITH A WRITTEN NOTICE THAT INDICATES FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE INDIVIDUALS, HOW AN INDIVIDUAL CAN APPLY FOR FINANCIAL ASSISTANCE, AND WHERE THE FAP CAN BE OBTAINED. SUCH WRITTEN NOTICE WILL IDENTIFY THE ECAS THAT GHS OR OTHER AUTHORIZED PARTY INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE, AND INDICATE THE DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. THE DEADLINE WILL BE NO EARLIER THAN THIRTY (30) DAYS AFTER THE DATE THAT THE WRITTEN NOTICE IS PROVIDED TO THE PATIENT OR PATIENT'S GUARANTOR. A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WILL BE INCLUDED WITH THE NOTICE GHS WILL ALSO MAKE REASONABLE EFFORTS TO ORALLY NOTIFY THE INDIVIDUAL ABOUT GHS FAP AND HOW THE PATIENT CAN OBTAIN ASSISTANCE WITH THE FAP PROCESS.
Schedule H, Part VI, Line 2:	IT IS THE POLICY OF GUNDERSEN HEALTH SYSTEM TO ENGAGE IN PRACTICES WHICH PROVIDE A BENEFIT TO THE COMMUNITY (GL-1820). THIS IS IN ACCORDANCE WITH OUR COMMUNITY SERVICE STATEMENT WHICH READS "WE SUPPORT AND STRENGTHEN THE COMMUNITIES WE SERVE WITH PARTNERSHIPS AND INVESTMENTS THROUGH EFFECTIVE HEALTH IMPROVEMENT PROGRAMMING, CORPORATE CITIZENSHIP, VOLUNTEERISM AND ECONOMIC CONTRIBUTIONS". COMMUNITY BENEFIT PROGRAMS ARE THOSE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND /OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS (I.E. CHNA, WORKSITE HEALTH RISK ASSESSMENTS, HEALTH SCORECARD, PATIENT AGGREGATE DATA, OTHER LOCAL, STATE, NATIONAL DATA SOURCES) REGARDLESS OF SOURCE OR AVAILABILITY OF PAYMENT. COMMUNITY SERVICE ACTIVITIES PROVIDE A MEASURABLE IMPROVEMENT IN POPULATION HEALTH. THE ACTIVITIES PROVIDED IN OUR COMMUNITIES INCLUDE HEALTH IMPROVEMENT, ADVOCACY FOR PEOPLE WITH DISABILITIES, RECOGNITION OF DIVERSITY AND INCLUSION, MENTAL HEALTH, DOMESTIC VIOLENCE, WORKFORCE DEVELOPMENT, EDUCATION AND SAFETY. ACTIVITIES ARE GUIDED BY COMMUNITY NEEDS ASSESSMENT AND AS APPROPRIATE, INCLUDED IN OUR IMPLEMENTATION PLAN. LEADERSHIP IN COMMUNITY HEALTH IMPROVEMENT IS EVIDENCED BY OUR ACTIVITY WITH SEVERAL COALITIONS AND INITIATIVES. GUNDERSEN HEALTH SYSTEM COMMUNITY SERVICES SUPPORT ONE OR MORE OF THE FOLLOWING ESTABLISHED CRITERIA: - SUPPORT GUNDERSEN HEALTH SYSTEM COMMUNITY-BASED MISSION THROUGH STRATEGIC COMMITMENT - TARGET POOR, MEDICALLY UNDERSERVED OR SPECIAL NEEDS POPULATION - IMPACT HEALTH STATUS - SUPPLY OR SUPPORT A SERVICE THAT WOULD BE DISCONTINUED IF DECISION MADE ON PURE FINANCIAL BASIS - ACCESSIBLE TO THE ENTIRE COMMUNITY REGARDLESS OF ABILITY TO PAY - STIMULATES EXTERNAL COMMUNITY PARTNERSHIPS, INCLUDING EMPLOYEE PARTICIPATION (VOLUNTEERISM) - CAN BE MEASURED IN TERMS OF FINANCIAL VALUE, EMPLOYEE CONTRIBUTIONS, THE NUMBER OF PEOPLE SERVED, AND IF THE GIVEN COMMUNITY BENEFITS ADDRESSES A HEALTH DISPARITY IN THE COMMUNITY. GUNDERSEN HEALTH SYSTEM FURTHER REFINES COMMUNITY SERVICE INTO THE FOLLOWING CATEGORIES: - ACCESS AND COVERAGE - HEALTH PROMOTION - SOCIAL AND BASIC NEEDS - CORPORATE CITIZENSHIP - ACTIVITIES 1. FINANCIAL CONTRIBUTIONS 2. DONATION OF MATERIALS AND EQUIPMENT 3. EMPLOYEE VOLUNTEERISM IN THE COMMUNITY
Schedule H, Part VI, Line 3:	EVERY PATIENT IS MADE AWARE OF THE AVAILABILITY OF FINANCIAL ASSISTANCE UPON CHECK-IN. SIGNS THAT ARE OF NOTICEABLE SIZE AND PLACEMENT ARE DISPLAYED IN EACH CHECK-IN AREA. PATIENTS ARE OFFERED A BROCHURE EXPLAINING THE FINANCIAL ASSISTANCE PROGRAM. PATIENTS THAT MEET WITH FINANCIAL COUNSELORS EITHER BY REFERRAL FROM A DEPARTMENT, OR SELF-REFERRAL ARE INFORMED OF THE FINANCIAL ASSISTANCE PROGRAM. FINANCIAL ASSISTANCE INFORMATION IS POSTED ON GLMC WEBSITE. INFORMATION IS ALSO POSTED IN NOT-FOR-PROFIT ORGANIZATIONS WHERE PATIENTS MIGHT SEEK ASSISTANCE FOR NON-MEDICAL FINANCIAL OBLIGATIONS.
Schedule H, Part VI, Line 4:	GUNDERSEN LUTHERAN MEDICAL CENTER INC. IS A MAJOR TERTIARY TEACHING HOSPITAL IN THE GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. LOCATED IN LA CROSSE, WI, THE HOSPITAL SERVES PATIENTS FROM THE LA CROSSE AND SURROUNDING AREAS INCLUDING THE 19 COUNTIES IN WESTERN WISCONSIN, SOUTHEASTERN MINNESOTA AND NORTHEASTERN IOWA. LA CROSSE COUNTY, WITH A POPULATION OF APPROXIMATELY 117,800 PEOPLE, IS THE LARGEST COMMUNITY IN OUR SERVICE REGION. TOTAL 19 COUNTY SERVICE POPULATION IS APPROXIMATELY 570,700 WITH AN AVERAGE HOUSEHOLD INCOME OF $64,373. 11.8% OF THE 19 COUNTY SERVICE AREA POPULATION IS COVERED BY MEDICAID (ACCORDING TO WI AND IA DATA). PROJECTED POPULATION GROWTH IS MUCH SLOWER AT 1.0% COMPARED TO THE NATIONAL POPULATION GROWTH PROJECTION OF 3.7%. 21.7% OF THE POPULATION ARE AGE 17 OR UNDER COMPARED TO 23.0% NATIONALLY. THE SERVICE AREA POPULATION OF 65 AND OLDER ADULTS IS 18.0% COMPARED TO 15.1% NATIONALLY. 7.3% OF THE POPULATION IS NON-WHITE. SEVERAL SMALLER RURAL COMMUNITY HOSPITALS ARE LOCATED THROUGHOUT THE REGION. GUNDERSEN TRI-COUNTY HOSPITAL IN WHITEHALL, WI, GUNDERSEN ST. JOSEPH'S HOSPITAL IN HILLSBORO, WI, PALMER LUTHERAN HEALTH CENTER IN WEST UNION, IA, AND GUNDERSEN BOSCOBEL AREA HOSPITAL IN BOSCOBEL, WI ARE PARTNERS/AFFILIATES OF THE GUNDERSEN HEALTH SYSTEM. SPECIALIZED SERVICES PERFORMED AT THE GUNDERSEN LUTHERAN MEDICAL CENTER AND IN MANY CASES, OUTREACH AT OUR REGIONAL CLINIC/HOSPITAL PARTNERS LOCATIONS INCLUDE ALLERGY, AUDIOLOGY, BEHAVIORAL MEDICINE, CARDIOLOGY, CARDIO TESTING LAB, CATH LAB, DERMATOLOGY, ECHOCARDIOGRAPHY, ENDOCRINOLOGY, ENDODONTICS, EXERCISE PHYSIOLOGY, GASTROENTEROLOGY, HEMATOLOGY, HOSPITALIST, INFECTIOUS DISEASE, NEPHROLOGY, NEUROLOGY, NEUROPSYCHOLOGY, NUTRITION THERAPY, OB/GYN, OCCUPATIONAL SERVICES, ONCOLOGY, OPHTHALMOLOGY, OTOLARYNGOLOGY, PATHOLOGY, PEDIATRICS, PERIODONTICS, PHYSICAL MEDICINE AND REHAB, PHYSICAL THERAPY, PLASTIC SURGERY, PODIATRY, PROSTHODONTICS, PSYCHIATRIC, PULMONARY, RENAL DIALYSIS, RHEUMATOLOGY, SPEECH PATHOLOGY, SPORTS MEDICINE, SURGERY, AND UROLOGY. GUNDERSEN PROVIDED SIGNIFICANT CHARITY CARE AND OTHER COMMUNITY BENEFITS AS DEFINED BY THE IRS. WE PROVIDE A CRITICALLY IMPORTANT COMMUNITY BENEFIT, MUCH OF WHICH IS NOT QUALIFIED. OUR HOSPITAL, LIKE MOST COMMUNITY HOSPITALS, WAS CREATED AND IS MAINTAINED IN ORDER TO PROVIDE CARE LOCALLY, CARE THAT WITHOUT OUR HOSPITAL MAY NOT BE AVAILABLE.
Schedule H, Part VI, Line 5:	GUNDERSEN'S BOARD OF TRUSTEES IS COMPRISED OF INDIVIDUALS FROM THE COMMUNITY WHO RESIDE HERE. THESE INDIVIDUALS ARE NOT EMPLOYEES OF THE HEALTH SYSTEM. THIS GROUP WORKS WITH THE BOARD OF GOVERNORS, MAKING DECISIONS THAT SUPPORT THE COMMUNITY-BASED MISSION AND VISION OF OUR ORGANIZATION. MANY OTHER EXAMPLES EXIST REFLECTING THE HEALTH SYSTEM'S SUPPORT AND PROMOTION OF THE HEALTH OF THE COMMUNITY. MANY PROGRAMS FOR THE COMMUNITY ARE PROVIDED AT NO COST SUCH AS A PHYSICAL ACTIVITY CHALLENGE, HEALTHY MENU PLANNING AT LOCAL RESTAURANTS, CHILD RESILIENCE TRAINING FOR PARENTS, AND HEALTH SCREENINGS AT LOCAL EVENTS. A FREE NURSE ADVISOR LINE IS AVAILABLE FOR ALL TO ASSIST CALLERS. PRIORITY ONE DESIGNATION ASSURES HEART ATTACK PATIENTS SEEN IN HOSPITALS THROUGHOUT THE REGION ARE CARED FOR WITH PROVEN PROTOCOLS AND TIMELY PROCEDURES. GUNDERSEN STAFF ARE ENCOURAGED TO PARTICIPATE IN THEIR LOCAL COMMUNITY ORGANIZATIONS. STAFF LEND THEIR EXPERTISE IN LEADERSHIP POSITIONS TO ORGANIZATIONS SUCH AS UNITED WAY, HEALTH MISSION, CHAMBER OF COMMERCE, HUMAN SERVICE ORGANIZATIONS, HEALTH IMPROVEMENT INITIATIVES, and homelessness initiatives. STAFF FROM GUNDERSEN HAVE BEEN INSTRUMENTAL IN ACCOMPLISHING COMMUNITY NEEDS ASSESSMENTS AND IMPLEMENTATION OF COMMUNITY INITIATIVES IN AREAS OF OBESITY, ALCOHOL USE, CHILD SAFETY, MENTAL HEALTH, DOMESTIC VIOLENCE, CHILD ABUSE AND ENVIRONMENTAL HEALTH. PATIENT ADVISORY GROUPS FROM VARIOUS SECTORS OF OUR COMMUNITY ARE COORDINATED IN ORDER FOR US TO BETTER MEET THE NEEDS OF OUR PATIENTS.
Schedule H, Part VI, Line 6:	ALL AFFILIATES OF THE HEALTH SYSTEM HAVE A RESPONSIBILITY TO PROMOTE THE HEALTH OF THE COMMUNITIES WE SERVE. THE MAJORITY OF EMPLOYEES, BASED IN THE ADMINISTRATIVE CORPORATION, ARE ACTIVELY INVOLVED IN PROGRAMS AND SERVICES FOR THE COMMUNITY AS WELL AS MAINTAINING PARTNERSHIPS WITH A VARIETY OF ORGANIZATIONS, COALITIONS, INITIATIVES AND AGENCIES IN OUR COMMUNITIES THAT PROMOTE HEALTH. THE ADMINISTRATIVE CORPORATION ALSO PROVIDES THE FINANCIAL CORPORATE CONTRIBUTIONS TO VARIOUS ORGANIZATIONS AND COMMUNITY ACTIVITIES. OUR FOUNDATION PROVIDES SUPPORT FOR some COMMUNITY HEALTH PROMOTION PROGRAMS AS WELL, PROVIDED BY THE HEALTH SYSTEM OR OTHER ORGANIZATIONS IN OUR COMMUNITY. CLINICAL STAFF SUPPORT SCREENINGS AND THE HEALTH MISSION. OUR LOCAL RURAL HOSPITAL AFFILIATES PROVIDE SUPPORT TO THEIR RESPECTIVE COMMUNITIES. OUR CLINICS, LOCATED IN OVER 20 COMMUNITIES in 3 states PROVIDE SUPPORT UNIQUE TO THE NEEDS OF THAT COMMUNITY. THE MEDICAL CENTER, AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM, WORKS WITH AND IS RELATED TO GUNDERSEN CLINIC, LTD. WHICH PROVIDED UNCOMPENSATED CARE IN THE AMOUNT OF APPROXIMATELY $46,259,342. BASED ON POLICIES AND CONTRACTS ARRANGED TO HELP SUPPORT THE COMMUNITY'S NEEDS RELATED TO HEALTH CARE SERVICES, THE $46,259,342 IS THE SUM OF UNREIMBURSED MEDICARE & MEDICAID COST PLUS CHARITY AT COST. ALL OF THESE ARE CALCULATED USING THE SAME METHOD UTILIZED FOR THE HOSPITAL CALCULATION OF CHARITY COST AND UNREIMBURSED MEDICARE AND MEDICAID COSTS. THE COST OF CHARITY IS CALCULATED BY FOLLOWING THE METHODOLOGY ON WORKSHEET 1. THE COST TO CHARGE RATIO IS CALCULATED FOLLOWING THE METHODOLOGY ON WORKSHEET 2. THE UNREIMBURSED MEDICARE AND MEDICAID COSTS ARE CALCULATED BY COMPARING THE COST OF SERVICES TO MEDICARE AND MEDICAID PATIENTS TO THE NET REVENUE FOR THOSE SAME PATIENTS. UNREIMBURSED COST IS THE AMOUNT THE COST EXCEEDS THE NET REVENUE. AMOUNTS ARE REPORTED IN THE SEPARATE 990 FOR GUNDERSEN CLINIC, LTD. AFFILIATED ENTITY CHARITY CARE AN AFFILIATE OF GUNDERSEN LUTHERAN MEDICAL CENTER, INC., GUNDERSEN CLINIC LTD., IS NOT REQUIRED TO FILE SCHEDULE H OF FORM 990. GUNDERSEN CLINIC, LTD. PROVIDED COMMUNITY BENEFIT OF: CHARITY AT COST $1,104,804 MEDICARE UNREIMBURSED COST $32,792,397 MEDICAID UNREIMBURSED COST $12,362,141.
Schedule H, Part VI, Line 7:	List of states receiving community benefit report: WI

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1836 SOUTH AVENUE	AddressLine1Txt
City	LA CROSSE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54601	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	391249705	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$11,089,953	CashGrantAmt
Purpose Of Grant	SUPPORT OF GLMF CHARITY CARE FOR 3793 RECIPIENTS	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	CHARITY CARE	GrantTypeTxt
Recipient	6195	RecipientCnt
Non Cash Assistance	$5,851,456	NonCashAssistanceAmt
Valuation Method Used	Book	ValuationMethodUsedDesc
Non Cash Assistance	CHARITY CARE	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2:	FormAndLineReferenceDesc
Explanation	ASSISTANCE WAS MADE TO A RELATED ORGANIZATION. THE FUNDS ARE MONITORED BY MANAGEMENT AND THE BOARD OF TRUSTEES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Scott Rathgaber MD
Chief Executive Officer	$794,496	$50,000	$4,555	$0	$39,750	$0	$25,614	$0	$914,415	$0	$0
Stephen Shapiro MD
Board of Trustees - Member	$442,396	$5,000	$373	$0	$39,750	$0	$30,296	$0	$517,815	$0	$0
Brian Sieck MD
Board of Trustees - Member	$391,446	$5,000	$333	$0	$39,750	$0	$30,346	$0	$466,875	$0	$0
Kelley Bahr MD
Board of Trustees - Member	$355,000		$4,195	$0	$36,250	$0	$54	$0	$395,499	$0	$0
Jonathan Zlabek MD
Board of Trustees - Member	$296,496	$7,500	$4,093	$0	$29,150	$0	$26,114	$0	$363,353	$0	$0
Greg Thompson MD
BOT - Member, CMO	$429,880		$4,555	$0	$39,938	$0	$24,614	$0	$498,987	$0	$0
P Michael Jacobs DPM
Medical Vice President	$348,996	$3,000	$7,455	$0	$39,750	$0	$26,114	$0	$425,315	$0	$0
Mary Kuffel MD
Medical Vice President	$461,912		$4,195	$0	$39,750	$0	$1,318	$0	$507,175	$0	$0
Stephanie Carroll MD
Medical Vice President	$297,744	$7,000	$13	$0	$39,750	$0	$18,868	$0	$363,375	$0	$0
Todd Kowalski MD
Medical Vice President	$308,995	$7,500	$13	$0	$33,916	$0	$28,915	$0	$379,339	$0	$0
Lisa Wied
Vice President	$117,528		$8,799	$0	$18,488	$0	$54	$0	$144,869	$0	$0
Mike McKee
Vice President	$116,812		$23,552	$0	$21,901	$0	$26,961	$0	$189,226	$0	$0
Kraig Schuster
Vice President	$200,584		$360	$0	$30,033	$0	$26,372	$0	$257,349	$0	$0
Elizabeth Smith-Houskamp
Vice President, Admin COO	$365,917		$13,435	$0	$39,750	$0	$54	$0	$419,156	$0	$0
Bryan Erdmann
Vice President	$231,686		$1,501	$0	$35,625	$0	$28,845	$0	$297,657	$0	$0
Kelly Barton
Vice President	$121,266		$1,579	$0	$4,908	$0	$1,850	$0	$129,603	$0	$0
Michael Dolan MD
EXEC VP, MEDICAL COO	$589,058	$5,000	$13	$0	$39,750	$0	$27,796	$0	$661,617	$0	$0
Marilu Bintz MD
Senior Vice President, Med VP	$572,848		$4,542	$0	$39,750	$0	$10,156	$0	$627,296	$0	$0
Kathleen Klock
Senior Vice President	$427,000		$120	$0	$39,750	$0	$4,236	$0	$471,106	$0	$0
Mark Platt
Senior Vice President	$373,996		$4,182	$0	$39,750	$0	$23,614	$0	$441,542	$0	$0
Debra Rislow
SVP, Admin COO	$158,366		$231,506	$0	$23,925	$0	$14,945	$0	$428,742	$0	$0
Rose Ann-Laureto
Chief Information Officer	$197,938		$345	$0	$21,827	$0	$5,906	$0	$226,016	$0	$0
Dara Bartels
Chief Financial Officer	$305,237	$25,010	$3,686	$0	$39,750	$0	$23,614	$0	$397,297	$0	$0
Mary Jafari
Senior Physicist	$225,504			$0	$34,314	$0	$16,178	$0	$275,996	$0	$0
John Wochos
Senior Physicist	$204,573		$3,917	$0	$32,120	$0	$26,114	$0	$266,724	$0	$0
Alan Daus
Senior Physicist	$210,939		$360	$0	$29,347	$0	$23,614	$0	$264,260	$0	$0
Kimberly Schmidt
Senior Physicist	$188,533		$360	$0	$28,843	$0	$16,678	$0	$234,414	$0	$0
Ryan Holte
Administrative Director	$170,236		$1,206	$0	$26,211	$0	$24,614	$0	$222,267	$0	$0
Mary Lu Gerke
Former Nurse Executive	$198,836			$0	$30,000	$0	$11,616	$0	$240,452	$0	$0
Jeffrey Thompson MD
Former CEO	$243,996		$3,448	$0	$37,500	$0	$26,114	$0	$311,058	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a and Line 3:	ALL PERSONNEL SERVICES FOR GUNDERSEN LUTHERAN MEDICAL CENTER, INC. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICE, INC. AND ALL PAYMENTS TO VENDORS ARE MADE BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC.
Schedule J, Part I, Line 4A:	2016 SEVERANCE PAYMENTS: DEBRA RISLOW $230,500

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 1:	GUNDERSEN LUTHERAN MEDICAL CENTER (GLMC) ESTABLISHED IN 1899, PROVIDES ACUTE AND TERTIARY CARE FOR 19 COUNTIES LOCATED THROUGHOUT WESTERN WISCONSIN, NORTHEASTERN IOWA AND SOUTHEASTERN MINNESOTA. GLMC IS A TEACHING HOSPITAL WITH 325 LICENSED BEDS AND A LEVEL II TRAUMA AND EMERGENCY CENTER. OUR MISSION IS TO DISTINGUISH OURSELVES THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, RESEARCH AND THROUGH IMPROVED HEALTH IN THE COMMUNITIES WE SERVE. WE WILL WORK AS A TEAM TO DEMONSTRATE OUR VALUES: INTEGRITY-PERFORM WITH HONESTY, RESPONSIBILITY AND TRANSPARENCY, EXCELLENCE-ACHIEVE EXCELLENCE IN ALL ASPECTS OF DELIVERING HEALTHCARE, RESPECT-TREAT PATIENTS, FAMILIES AND COWORKERS WITH DIGNITY, INNOVATION-EMBRACE CHANGE AND NEW IDEAS, COMPASSION-PROVIDE COMPASSIONATE CARE TO PATIENTS AND FAMILIES.
Form 990, Part III, Line 1:	GUNDERSEN LUTHERAN MEDICAL CENTER (GLMC) A PHYSICIAN-LED, NOT-FOR-PROFIT HEALTHCARE SYSTEM, ESTABLISHED IN 1899, PROVIDES ACUTE AND TERTIARY CARE FOR 19 COUNTIES LOCATED THROUGHOUT WESTERN WISCONSIN, NORTHEASTERN IOWA AND SOUTHEASTERN MINNESOTA. WE SERVE AS A REGIONAL REFERRAL CENTER. GLMC IS A TEACHING HOSPITAL WITH 325 LICENSED BEDS AND A LEVEL II TRAUMA AND EMERGENCY CENTER. OUR MISSION IS TO DISTINGUISH OURSELVES THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, RESEARCH AND THROUGH IMPROVED HEALTH IN THE COMMUNITIES WE SERVE. WE WILL WORK AS A TEAM TO DEMONSTRATE OUR VALUES: INTEGRITY-PERFORM WITH HONESTY, RESPONSIBILITY AND TRANSPARENCY, EXCELLENCE -ACHIEVE EXCELLENCE IN ALL ASPECTS OF DELIVERING HEALTHCARE, RESPECT-TREAT PATIENTS, FAMILIES AND COWORKERS WITH DIGNITY, INNOVATION-EMBRACE CHANGE AND NEW IDEAS, COMPASSION-PROVIDE COMPASSIONATE CARE TO PATIENTS AND FAMILIES. OUR CURRENT VISION IS TO ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES WHILE ENRICHING EVERY LIFE WE TOUCH, INCLUDING PATIENTS, FAMILIES, AND STAFF.
Form 990, Part III, Line 4a:	GLMC PROVIDES A COMPREHENSIVE RANGE OF INPATIENT, CLINICAL AND DIAGNOSTIC SERVICES IN NUMEROUS MEDICAL SPECIALTIES AND SUBSPECIALTIES. GLMC IS A TEACHING HOSPITAL WITH 325 LICENSED BEDS WITH SPECIALTY SERVICES INCLUDING RENAL DIALYSIS, CANCER CARE, REHABILITATION SERVICES, AND CARDIAC SERVICES. IN 2013, GLMC OPENED A NEW INPATIENT BEHAVIORAL HEALTH BUILDING, MEETING A TREMENDOUS NEED IN OUR REGION FOR ADDITIONAL BEDS AND SERVICES. WE ARE ABLE TO PROVIDE CARE LOCALLY FOR PATIENTS OF ALL AGES. THE FACILITY IS THE ONLY PLACE IN THE REGION OFFERING INPATIENT CARE FOR ADOLESCENTS AND TEENAGERS WITH BEHAVIORAL HEALTH NEEDS. GLMC HAS REPEATEDLY BEEN NAMED ONE OF THE TOP 50 HOSPITALS IN THE NATION, PLACING US IN THE TOP ONE PERCENT. GLMC VOLUNTARILY PROVIDES MEDICALLY NECESSARY PATIENT CARE SERVICE THAT IS DISCOUNTED OR FREE OF CHARGE TO PERSONS WHO HAVE INSUFFICIENT RESOURCES AND/OR WHO ARE UNINSURED. DURING 2016, GLMC PROVIDED FINANCIAL ASSISTANCE ON APPROXIMATELY 6,195 PATIENTS THAT RESULTED IN GLMC INCURRING ROUGHLY $5,581,133 IN UNCOMPENSATED COST ASSOCIATED WITH THIS PROGRAM.
Form 990, Part IV, Line 24a:	GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. IS A PART OF GUNDERSEN LUTHERAN'S OBLIGATED GROUP (GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC., GUNDERSEN LUTHERAN MEDICAL CENTER, INC., GUNDERSEN CLINIC, LTD., AND GUNDERSEN LUTHERAN MEDICAL FOUNDATION, INC.) AND TAX-EXEMPT DEBT RESIDES ON THE BALANCE SHEET OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. FEIN 39-1606449.
Form 990, Part VI, Line 2:	Mark Glendenning, Gerald Arndt and Greg Prairie - Business Relationship
Form 990, Part VI, Line 6:	GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THIS ORGANIZATION.
Form 990, Part VI, Line 7a:	GUNDERSEN LUTHERAN HEALTH SYSTEM, INC.
Form 990, Part VI, Line 7b:	GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. THE PARENT CORPORATION AND SOLE MEMBER OF THE CORPORATION, SHALL HAVE THE POWER TO RECOMMEND AND REVIEW, AS APPROPRIATE, AND APPROVE CERTAIN MATTERS. ARTICLES OF INCORPORATION MAY BE AMENDED BY VOTE OF THE SOLE MEMBER OF THE CORPORATION.
Form 990, Part VI, Line 11b:	THE FORM 990 WILL BE AVAILABLE FOR ALL BOARD MEMBERS AT A BOARD MEETING AND THE GUNDERSEN LUTHERAN HEALTH SYSTEM FINANCE COMMITTEE RECEIVES A COPY OF THE 990 BEFORE FILING AND UPON FURTHER REVIEW FROM THE CFO THE 990S ARE APPROVED AND FILED.
Form 990, Part VI, Line 12c:	GUNDERSEN LUTHERAN MEDICAL CENTER, INC. MONITORS CONFLICTS ON AN ANNUAL BASIS BY REVIEWING DISCLOSURES ON COMPLETED CONFLICT OF INTEREST STATEMENTS.
Form 990, Part VI, Line 15a:	ALL PERSONNEL SERVICES FOR GUNDERSEN LUTHERAN MEDICAL CENTER, INC. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC. THE COMPENSATION OF THE CEO IS DETERMINED ANNUALLY BY A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THEIR DETERMINATION IS MADE AFTER A REVIEW OF MARKET DATA OBTAINED FROM SEVERAL ORGANIZATIONS AND CEO PERFORMANCE. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE SUCH DISCUSSIONS TAKE PLACE. RECOMMENDATIONS FOR COMPENSATION FOR THE ORGANIZATIONS' KEY MANAGEMENT EMPLOYEES ARE DEVELOPED ANNUALLY BY THE CEO, AFTER A REVIEW OF PERFORMANCE AND COMPARABLE MARKET DATA. THE PROPOSED SALARIES ARE INDEPENDENTLY REVIEWED BY AN OUTSIDE AUDITING FIRM. THE COMPENSATION RECOMMENDATIONS, AUDIT REPORTS, ALONG WITH THE MARKET DATA, ARE PRESENTED TO A COMMITTEE MADE UP OF THE COMMUNITY MEMBERS OF THE BOARD OF TRUSTEES. THE COMPENSATION AMOUNTS ARE NOT EFFECTIVE UNTIL THE BOARD COMMITTEE APPROVES THEM. MEETING MINUTES ARE TAKEN AND KEPT AT THE MEETINGS WHERE THE BOARD REVIEWS AND APPROVES THE COMPENSATION OF THE KEY EMPLOYEES.
Form 990, Part VI, Line 19:	REQUESTS FOR ALL DOCUMENTS ARE MADE THROUGH THE LEGAL DEPARTMENT AND THE APPROPRIATE DOCUMENTS ARE MADE AVAILABLE FOR INSPECTION IN THE LEGAL DEPARTMENT.
Form 990, Part VII, Section A, Line 1:	ALL PERSONNEL SERVICES FOR GUNDERSEN LUTHERAN MEDICAL CENTER, INC. ARE PERFORMED BY EMPLOYEES OF GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC.
Form 990, Part VII, Section B, Line 1:	ALL PAYMENTS TO VENDORS ARE MADE BY GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES, INC.
Form 990, Part XII, Line 2c:	THE PROCESS ALLOWS THE AUDIT COMMITTEE OF GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. TO INDEPENDENTLY COMMUNICATE WITH THE EXTERNAL AUDIT FIRM THROUGHOUT THE YEAR, BUT FORMAL COMMUNICATION OCCURS BEFORE THE ENGAGEMENT AND UPON CONCLUSION. THE AUDIT COMMITTEE MEETS WITH THE AUDIT FIRM FOR PRESENTATION OF THE STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
Form 990, Part XII, Line 3a:	The information in the Schedule is presented in accordance with the requirements of Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards.
FORM 990 PART IX LINE 11G	DESCRIPTION:Purchased Health Services TOTAL FEES:93481048
FORM 990 PART IX LINE 11G	DESCRIPTION:Purchased Program Services TOTAL FEES:9225786
FORM 990 PART IX LINE 11G	DESCRIPTION:Consulting TOTAL FEES:338631

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391866425	SUPTNG. ORG	WI	501(C)(3)	LINE 12B,II	NA	false
GUNDERSEN CLINIC LTD
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391028657	HEALTH CARE	WI	501(C)(3)	LINE 3	GLHS	false
GUNDERSEN LUTHERAN MEDICAL FNDTN INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391249705	FOUNDATION	WI	501(C)(3)	LINE 7	GLHS	false
GUNDERSEN LUTHERAN ADM SERVICES INC
1910 SOUTH AVENUE	LA CROSSE	WI	54601	391606449	SUPTNG. ORG.	WI	501(C)(3)	LINE 12B,II	GLHS	false
GUNDERSEN LUTHERAN CREDENTIALING SVS INC
1910 SOUTH AVENUE	LA CROSSE	WI	54601	391856898	CREDENTIALING	WI	501(C)(3)	LN 12C,III	GLHS	false
TRI-COUNTY MEMORIAL HOSPITAL INC
18601 LINCOLN STREET	WHITEHALL	WI	54773	390704510	HEALTH CARE	WI	501(C)(3)	LINE 3	GLHS	false
TRI-STATE REGIONAL AMBULANCE INC
235 CAUSEWAY BLVD	LA CROSSE	WI	54603	391962965	MDCL TRANSPO.	WI	501(C)(3)	LINE 10	GLHS	false
STJOSEPH'S HEALTH SERVICES INC
400 WATER AVENUE	HILLSBORO	WI	54634	390929538	HEALTH CARE	WI	501(C)(3)	LINE 3	GLHS	false
ST JOSEPH MEMORIAL FOUNDATION INC
400 WATER AVENUE	HILLSBORO	WI	54634	391455787	FOUNDATION	WI	501(C)(3)	LINE 12A, I	S JOSEPH HS	false
TRI-COUNTY MEMORIAL FOUNDATION INC
18601 LINCOLN STREET	WHITEHALL	WI	54773	300093022	FOUNDATION	WI	501(C)(3)	LINE 12A, I	TRI-COUNTY	false
GUNDERSEN LUTHERAN EXPRESS CARE INC
1836 SOUTH AVE	LA CROSSE	WI	54601	900102388	HEALTH CARE	WI	501(C)(3)	LINE 12	GLHS	false
GUNDERSEN HEALTH PLAN MN INC
1900 SOUTH AVE	LA CROSSE	WI	54601	452633920	HEALTH INS	MN	501(C)(4)		GHP	false
MEMORIAL HOSPITAL OF BOSCOBEL
205 PARKER STREET	BOSCOBEL	WI	53805	390845590	HEALTH CARE	WI	501(C)(3)	LINE 3	GLHS	false
MEMORIAL HOSPITAL OF BOSCOBEL FNDT INC
205 PARKER STREET	BOSCOBEL	WI	53805	391688793	FUNDRAISING	WI	501(C)(3)	LINE 7	NA	false
BOSCOBEL AREA HEALTH CARE PARTNERS
205 PARKER STREET	BOSCOBEL	WI	53805	450498844	FUNDRAISING	WI	501(C)(3)	LINE 7	NA	false
HARMONY COMMUNITY HEALTHCARE INC
815 MAIN AVENUE S	HARMONY	MN	55939	410711606	HEALTH CARE	MN	501(C)(3)	LINE 10	GLHS	false
TWEETEN LUTHERAN HEALTHCARE CENTER INC
125 FIFTH AVENUE SE	SPRING GROVE	MN	55974	411565003	HEALTH CARE	MN	501(C)(3)	LINE 10	GLHS	false
TRI-STATE AMBULANCE INC
235 CAUSEWAY BLVD	LA CROSSE	WI	54603	391965415	MDCL TRANSPO.	WI	501(C)(3)	LINE 3	GLHS	false
LUTHERAN REAL ESTATE HOLDING CORPORATION
1910 SOUTH AVENUE	LA CROSSE	WI	54601	391480826	HOUSING	WI	501(C)(3)	LN 12C, III	GLHS	false
LUTHERAN HOUSING OF LA CROSSE INC
1900 SOUTH AVENUE	LA CROSSE	WI	54601	391751934	INDP LIVING	WI	501(C)(3)	LINE 10	LRHC	false
COMMUNITY HOUSING OF LA CROSSE INC
1900 SOUTH AVENUE	LA CROSSE	WI	54601	391586700	INDP LIVING	WI	501(C)(3)	LINE 10	LRHC	false
GUNDERSEN HEALTH PLAN INC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	391807071	HEALTH INS.	WI	501(C)(4)		GLHS	false
PALMER LUTHERAN HEALTH CENTER INC
112 JEFFERSON STREET	WEST UNION	IA	52175	421320763	HEALTH CARE	IA	501(C)(3)	LINE 3	GLHS	false
PALMER MEMORIAL FOUNDATION
112 Jefferson Street	West Union	IA	52175	421032878	FOUNDATION	IA	501(C)(3)	LINE 7	PLHC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd
DEGEN BERGLUND INC
1709 LOSEY BLVD S	LA CROSSE	WI	54601	390971110	RTL PHARMACY	WI	GLHS	C Corp	$0	$0	false
GUNDERSEN LUTHERAN ENVISION LLC
1836 SOUTH AVENUE	LA CROSSE	WI	54601	264706546	RENEWABLE ENERGY	WI	GLHS	C Corp	$0	$0	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GUNDERSEN HEALTH PLAN INC
p	$93,230,332	FAIR VALUE
GUNDERSEN HEALTH PLAN MN INC
p	$2,294,929	FAIR VALUE

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Total Grassroots LobbyTotalGrassrootsLobbyAmt	Total Direct LobbyTotalDirectLobbyAmt	Total Lobby ExpenditureTotalLobbyExpenditureAmt	Other Exempt Purpose ExpendOtherExemptPurposeExpendAmt	Total Exempt Purpose ExpendTotalExemptPurposeExpendAmt	Lobby NontxLobbyNontxAmt	Grassroots NontxGrassrootsNontxAmt	Total Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmt	Tot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmt	Share Excess Lobby ExpendShareExcessLobbyExpendAmt
Gundersen Clinic
1836 South Avenue	La Crosse	WI	54601	391028657	$0	$24,087	$24,087	$179,120,731	$179,144,818	$1,000,000	$250,000	$0	$0	$0
Gundersen Lutheran Administr
1910 S Ave	La Crosse	WI	54601	391606449	$0	$195,808	$195,808	$743,071,084	$743,266,892	$1,000,000	$250,000	$0	$0	$0
Gundersen Lutheran Medical C
1910 S Avenue	La Crosse	WI	54601	390813416	$0	$0	$0	$908,889,032	$908,889,032	$1,000,000	$250,000	$0	$0	$0
Gundersen Lutheran Health Sy
1836 South Avenue	La Crosse	WI	54601	391866425	$0	$0	$0	$15,949,000	$15,949,000	$947,450	$236,863	$0	$0	$0